NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client diagnosed with bacterial pneumonia. Which priority intervention should the nurse implement?
Correct Answer: C
Rationale: Administering oxygen as prescribed (
C) is the priority for bacterial pneumonia to address hypoxemia, a common issue due to impaired gas exchange. Assessing respiratory rate (
A) is important but secondary to ensuring oxygenation. Rest (
B) and breathing techniques (
D) support recovery but are not the first priority.
Question 2 of 5
What information does the nurse need to know first before recommending further action?
Correct Answer: B
Rationale: Determining if the victim can cough assesses whether the airway is partially or completely obstructed, guiding the next steps.
Question 3 of 5
The client had a right-sided chest tube inserted two (2) hours ago for a pneumothorax. Which action should the nurse implement if there is no fluctuation (tidaling) in the water-seal compartment?
Correct Answer: C
Rationale: No tidaling suggests obstruction; checking for kinks/clots (
C) is the first step. CXR (
A), suction increase (
B), and SpO2 (
D) follow if unresolved.
Question 4 of 5
You're assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient's lung fields and note expiratory wheezes. The patient's peak flow rate is 78% less than their best peak flow reading. Which medication will provide the patient with the fastest relief from these signs and symptoms of an asthma attack?
Correct Answer: C
Rationale: Albuterol is a short-acting beta-agonist that provides rapid bronchodilation, making it the fastest-acting medication for acute asthma symptoms.
Question 5 of 5
The home health-care nurse is talking on the telephone to a male client diagnosed with hypertension and hears the client sneezing. The client tells the nurse he has been blowing his nose frequently. Which question should the nurse ask the client?
Correct Answer: C
Rationale: Sneezing and nasal discharge suggest a URI; asking about OTC medications (
C) assesses self-treatment and potential interactions. Flu shot timing (
A) is irrelevant, children (
B) are secondary, and cold sores (
D) relate to herpes, not URI.